Source	S100 HSD Private
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10230KMP	SUCROFERRIC OXYHYDROXIDE sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)	2	180	5	$716.08	$31.60	$31.60
	Available brands
	Velphoro

Source	S100 HSD Public
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10233NMP	SUCROFERRIC OXYHYDROXIDE sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)	2	180	5	$680.00	$31.60	$31.60
	Available brands
	Velphoro

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
10250LMPNP	SUCROFERRIC OXYHYDROXIDE sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)	1	90	5	$392.64	$31.60	$31.60
	Available brands
	Velphoro

Source	General Schedule
Body System	VARIOUS > ALL OTHER THERAPEUTIC PRODUCTS > ALL OTHER THERAPEUTIC PRODUCTS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
13985CMPNP	SUCROFERRIC OXYHYDROXIDE sucroferric oxyhydroxide 2.5 g (iron 500 mg) chewable tablet, 90 (PI, CMI)	2	180	5	$776.48	$31.60	$31.60
	Available brands
	Velphoro